Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.01 / $249.01 / $249.01	Professional		$249.01	$249.01	$249.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $108.14 / $127.22	Professional		$108.14	$108.14	$127.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $189.59 / $261.45	Facility		$71.59	$189.59	$261.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $225.55 / $241.76	Professional		$215.62	$225.55	$241.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.05	Professional		$32.34	$32.34	$236.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $240.05 / $240.05	Professional		$154.00	$240.05	$240.05
United Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $81.64 / $190.48	Professional		$45.34	$81.64	$190.48